Provider Demographics
NPI:1841673290
Name:JALLOH CONTEH-BARRAT, KADIJA (DNP, FNP-BC, PMHNP)
Entity type:Individual
Prefix:
First Name:KADIJA
Middle Name:
Last Name:JALLOH CONTEH-BARRAT
Suffix:
Gender:F
Credentials:DNP, FNP-BC, PMHNP
Other - Prefix:
Other - First Name:KADIJA
Other - Middle Name:
Other - Last Name:JALLOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-BC
Mailing Address - Street 1:12721 DARBY BROOK CT # 202-01
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2408
Mailing Address - Country:US
Mailing Address - Phone:571-543-4880
Mailing Address - Fax:571-543-4885
Practice Address - Street 1:12721 DARBY BROOK CT # 202-01
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2408
Practice Address - Country:US
Practice Address - Phone:571-543-4880
Practice Address - Fax:571-543-4885
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172714363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily